HomeMy WebLinkAbout257371 04/08/16 4�p"". CITY OF CARMEL, INDIANA VENDOR: 00352767
�) ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $*****1,072.43*
?4; CARMEL, INDIANA 46032 Cio DOCS CHECK NUMBER: 257371
9��TON Cl0 DOCS CHECK DATE: 04/08/16'
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT- DESCRIPTION
1192 4343003 040616 682.43 TRAVEL & LODGING
1192 4343004 040616 390.00 TRAVEL PER DIEMS
VOUCHER NO. WARRANT NO.
ALLOWED 20
WILLIAM HOHLT
IN SUM OF$
C/O DOCS
C/O DOCS
$682.43
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
I 0 I 43-430.03 I $682.43 1 hereby certify that the attached invoice(s), or
1192 101
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, March 30, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
�Q.KmE'RsVp
�r/ G
CITY OF CARMEL Expense Report (required for all travel expenses)
Ur
EMPLOYEE NAME: William Hohlt DEPARTURE DATE: 3/20/2016 TIME: AM
DEPARTMENT:_DOCS RETURN DATE: 3/25/2016 TIME: AM
REASON FOR TRAVEL: Training_Las Vegas EDU CODE DESTINATION CITY:
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT_x_ TRAVEL PER DIEM x
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
3/20/16 $15.09 $117.60 $65.00 $197.69
3/21/16 $117.60 $65.00 $182.60
3/22/16 $117.60 $65.00 $182.60
3/23/16 $117.60 $65.00 $182.60
3/24/16 $117.60 $65.00 $1'82.60
3/25/16 $79.34 $65.00 $144.34
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
Totall $0.001 $O.55 $0.00 $94.43 $588.00 $0.00 $0.00 $0.04, $0.00 $390.00 $0,0011FIRMug M,
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form#ER06 Revision Date 3/28/2016 Page 1
0-00000""
Ina1a
col k, ,olls mternat-
cashlgo�ltmter h rm �amap0!&, Homo iolrel I'Dori
Or
j, m
ii
THE ORLEANS HOTEL& CASINO
s :::::::: 4500 W. TROPICANA AVENUE
:yv
OFOR
EGAS% NEVADA89103
ESERVATIONS CALL(800)675-3267
rleainscasino.com
zA s v X G A aio ID: 424365811502
- ----- - ------------------------- Fol'o +'; oaH vu ; oxvArrival Daate: 03/20/2016
HOHLT Departure Date: 03/25/2016
Address;: 13539 SHELBORNE RD
:Room No: T3 1883
CARMEL IN 46074 Guests:.l
y'FcN E,A.GroupCode: A6EDC03
DATE REFERENCE DESCRIPTION Y �� HI2GES" ' BALANCE
03/201/2016 424489100960 RESORT FEE `6 72
RESORT FEE
ai ¢ti's
03/20/2016, 424489002815 ROOM CHARGE T3 1883 51.00
t -
TAX2 r ! S . -'6 12
/ 0i 2016. 4244&6128162 APPLIED DEPOSIT 57.12-
********** *5';997
03/.21/2016 " 424499100833 RESORT FEE 6.'72 '
RESORT FEE t•.";=F°,¢. .
;01/21/2016 424499002716 ROOM CHARGE T3 1883 7. 51.00
TAX2 6.12
03/21/2016 424496172685 IN ROOM INTERNET ?. :.
1883 21:30 LAPTOP-2
03/22/2'016 424509100867 RESORT FEE 6.72,
RESORT FEE
03/22/2016 424509002759 ROOM CHARGE T3 1883 51.00
TAX2 6.12
03/23/2016 424519100786 RESORT FEE p 6,.72 ,
RESORT FEE _
03/23.,/2016 424519002792 ROOM CHARGE T3 1883 f 51 00P.
`"
TAX2 6.12
03/24,/2016 424529100712 RESORT FEE
..6.72
- RESORT FEE
03/24'/2016 424529002680 ROOM CHARGE. .T3•, 1883 51..00
TAX2 6.12
N
251 20.16 424536267692 FRONT DESK VISA 262
V �'/ °. ******5997
I agree that my liability is not waived and agree to be held personally liable in the event that the
indicated person,company or association fails to pay for any part of the full amount of these
Yr
charges.'
GUEST_SIGNATURE A ALANCE DUE:
APPROVED BY
THANK YOU FOR CHOOSING THE ORLEANS HO'T,EL-&-CASINO